<!DOCTYPE html>
<html lang="zh-CN">
<head>
<meta charset="utf-8" />
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0;" />
<meta name="format-detection" content="telephone=no" />
<title>会员卡信息修改</title>
<link href="css/style.css" rel="stylesheet" type="text/css">
<link href="css/font-face.css" rel="stylesheet" type="text/css">
</head>

<body class="member_bg">
<div class="member_top">
	<div class="member_banner"></div>
</div>
<div class="member_tips">以下信息将作为消费凭证，请认真填写</div>
<div class="signup_inp_box">
	<div class="signup_inp_list">
    	<div class="signup_inp_list_layer"><span class="glyphicon glyphicon-user"></span></div>
    	<input type="text" onblur="if(this.value == '' ) this.value='姓名';" onfocus="if(this.value == '姓名' ) this.value='';" name="" value="姓名" >
    </div>
    <div class="signup_inp_list">
    	<div class="signup_inp_list_layer"><span class="glyphicon glyphicon-heart-empty"></span></div>
    	<input type="text" onblur="if(this.value == '' ) this.value='性别';" onfocus="if(this.value == '性别' ) this.value='';" name="" value="性别">
    </div>
    <div class="signup_inp_list">
    	<div class="signup_inp_list_layer"><span class="glyphicon glyphicon-calendar"></span></div>
    	<input type="text" onblur="if(this.value == '' ) this.value='出生日期';" onfocus="if(this.value == '出生日期' ) this.value='';" name="" value="出生日期">
    </div>
    <div class="signup_inp_list">
    	<div class="signup_inp_list_layer"><span class="glyphicon glyphicon-phone"></span></div>
    	<input type="text" onblur="if(this.value == '' ) this.value='电话';" onfocus="if(this.value == '电话' ) this.value='';" name="" value="电话">
    </div>
    <div class="signup_inp_txtarea">
    	<textarea></textarea>
    </div>
    <div class="member_btn"><a href="#">修改我的会员卡信息</a></div>
</div>
</body>
</html>
